Section 210.009 - Documentation and Record-Keeping(A) Each school where prescription medications are administered by school personnelshallmaintain a medication administration record for each studentwho receives prescription medication during school hours. (1) Such record at a minimum shall include a daily log and a medication administration plan, including the medication order and parent/guardian authorization.(2) The medication administration plan shall include the information as described in 105 CMR 210.005(E).(3) The daily log shall contain: (a) the dose or amount of prescription medication administered;(b) the date and time of administration or omission of administration, including the reason for omission;(c) the full signature of the nurse or designated unlicensed school personnel administering the prescription medication. If the prescription medication is given more than once by the same person, he/she may initial the record, subsequent to signing a full signature.(4) The school nurse shall document in the medication administration record significant observations of the prescription medication's effectiveness, as appropriate, and any adverse reactions or other harmful effects, as well as any action taken.(5) All documentation shall be recorded in ink and shall not be altered.(6) With the consent of the parent, guardian, or student where appropriate, the completed prescription medication administration record and records pertinent to self administration shall be filed in the student's cumulative health record. When the parent, guardian or student, where appropriate, objects, these records shall be regarded as confidential medical notes and shall be kept confidential, except as provided in 105 CMR 210.000.(B) Medication errors, as defined in 105 CMR 210.005(F)(5), shall be documented by the school nurse on an accident/incident report form. These reports shall be retained in a location as determined by school policy and made available to the Department of Public Health upon request. All suspected diversion or tampering of drugs shall be reported to the Department of Public Health, Division of Food and Drugs. All medication errors resulting in serious illness requiring medical care shall be reported to the Department of Public Health, Bureau of Family and Community Health.(C) The school district shall comply with the Department of Public Health's reporting requirements for prescription medication administration in the schools.(D) The Department of Public Health may inspect any individual student medication record or record relating to the administration or storage of prescription medications without prior notice to ensure compliance with 105 CMR 210.000.